Gluteal tendon repair augmented with a synthetic ligament: surgical technique and a case series

2.50
Hdl Handle:
http://hdl.handle.net/11287/593783
Title:
Gluteal tendon repair augmented with a synthetic ligament: surgical technique and a case series
Authors:
Bucher, Thomas A.; Darcy, P.; Ebert, J. R.; Smith, A.; Janes, G.
Abstract:
We describe an augmented surgical repair technique for gluteus minimus and medius tears, along with a supportive case series. A consecutive series of 22 patients presenting with clinical and radiological findings consistent with hip abductor tears, who had undergone failed prior conservative treatments, were prospectively recruited. Patients underwent open bursectomy, Y-iliotibial release, debridement of the diseased tendon, decortication of the trochanteric foot-plate and reattachment augmented with a LARS ligament through a trans-osseous tunnel, together with suture anchors. All patients were assessed pre- and postoperatively to 12 months with the Oxford Hip Score (OHS), the Short-Form Health Survey (SF-36) and a Visual Analogue Pain Scale (VAS), while a satisfaction scale was employed at 12 months. A statistically significant improvement (p<0.05) was observed for all patient reported outcome measures, while all patients were at least 'satisfied' with the procedure at 12 months. One patient reported some lateral hip discomfort at 10 months, and removal of the LARS interference screw provided immediate relief. One patient had a urological catheter-related complication. With no other complications and no clinical failures of the repair, we believe the technique to be safe and reliable, whilst reducing the incidence of re-tears as reported in the existing literature.
Citation:
Hip Int. 2014 Mar-Apr;24(2):187-93..
Publisher:
Wichtig
Journal:
Hip international : the journal of clinical and experimental research on hip pathology and therapy
Issue Date:
1-Mar-2014
URI:
http://hdl.handle.net/11287/593783
DOI:
10.5301/hipint.5000093
PubMed ID:
24186680
Additional Links:
http://www.hip-int.com/article/gluteal-tendon-repair-augmented-with-a-synthetic-ligament--surgical-technique-and-a-case-series
Type:
Journal Article
Language:
eng
ISSN:
1724-6067
Appears in Collections:
General Trauma & Orthopaedics; 2014 RD&E publications

Full metadata record

DC FieldValue Language
dc.contributor.authorBucher, Thomas A.en
dc.contributor.authorDarcy, P.en
dc.contributor.authorEbert, J. R.en
dc.contributor.authorSmith, A.en
dc.contributor.authorJanes, G.en
dc.date.accessioned2016-01-19T12:34:52Zen
dc.date.available2016-01-19T12:34:52Zen
dc.date.issued2014-03-01en
dc.identifier.citationHip Int. 2014 Mar-Apr;24(2):187-93..en
dc.identifier.issn1724-6067en
dc.identifier.pmid24186680en
dc.identifier.doi10.5301/hipint.5000093en
dc.identifier.urihttp://hdl.handle.net/11287/593783en
dc.description.abstractWe describe an augmented surgical repair technique for gluteus minimus and medius tears, along with a supportive case series. A consecutive series of 22 patients presenting with clinical and radiological findings consistent with hip abductor tears, who had undergone failed prior conservative treatments, were prospectively recruited. Patients underwent open bursectomy, Y-iliotibial release, debridement of the diseased tendon, decortication of the trochanteric foot-plate and reattachment augmented with a LARS ligament through a trans-osseous tunnel, together with suture anchors. All patients were assessed pre- and postoperatively to 12 months with the Oxford Hip Score (OHS), the Short-Form Health Survey (SF-36) and a Visual Analogue Pain Scale (VAS), while a satisfaction scale was employed at 12 months. A statistically significant improvement (p<0.05) was observed for all patient reported outcome measures, while all patients were at least 'satisfied' with the procedure at 12 months. One patient reported some lateral hip discomfort at 10 months, and removal of the LARS interference screw provided immediate relief. One patient had a urological catheter-related complication. With no other complications and no clinical failures of the repair, we believe the technique to be safe and reliable, whilst reducing the incidence of re-tears as reported in the existing literature.en
dc.language.isoengen
dc.publisherWichtigen
dc.relation.urlhttp://www.hip-int.com/article/gluteal-tendon-repair-augmented-with-a-synthetic-ligament--surgical-technique-and-a-case-seriesen
dc.titleGluteal tendon repair augmented with a synthetic ligament: surgical technique and a case seriesen
dc.typeJournal Articleen
dc.identifier.journalHip international : the journal of clinical and experimental research on hip pathology and therapyen

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